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Category: NEW: Ask the Pediatrician

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Ask Our On Call Pediatrician
BadgeLevel 10
,
posted 12:00am, Apr 30, 2008

The doc is in! Have some questions you need answers to? Now is your chance.

Help! My child seems so constipated all the time. What can I do?  Post this or any other questions you'd like to ask our guest pediatrician, Dr Mary Ann Lo Frumento. She'll be answering your questions throughout the month of May. A little about Dr. Lo Frumento:

Dr. Lo Frumento started Franklin Pediatrics, in Morristown, New Jersey where for 17 years, she was the managing partner with one of the largest pediatric groups in the state.She is currently an Attending Physician at the Goryeb Children’s Hospital in Morristown, NJ and Clinical Assistant Professor of Pediatrics at the Mt. Sinai School of Medicine. Dr. Mary Ann’s the author and producer of the Simply Parenting series of childcare books and DVDs and a regular contributor for parenting magazines, radio and cable television networks. Her website is www.simplyparenting.com.

Check back for answers starting next week! 

Brought to you by Pedia-lax.

Disclaimer* Even though Dr. Lo Frumento is a board certified pediatrician, please do not substitute her responses for visiting your local medical provider regarding any issues discussed here.

Below is Dr. Mary Ann Lo Frumento

BadgeLevel 10
,
posted 4:30pm, Apr 30, 2008

My daughter is six and I recently started noticing she is losing hair. When I comb her she looks likes she's shedding. I don't get clumps, but I just get alot of hair when I comb her. She is a little overweight and her cheeks are always red, but we are told it's because she is so fare skinned and that's why. When I put the two together, I am wondering if her thyroid should be tested.

Corina Boyer
Community Assistant
Kaboose & BabyZone
"Where Families Get Going"
corinahud@aol.com
corinab.ca@gmail.com

BadgeLevel 1
,
posted 10:29am, May 12, 2008

Watching your daughter's hair thin out or fall out is understandably upsetting, but the symptoms you describe are not classic of hypothyroidism- too little thyroid hormone produced. What your daughter may have is a scalp condition called Telogen effluvium, a sudden thinning of hair throughout the scalp. The condition is not serious, and the hair loss is not total or permanent. Nor does it come out in clumps, like another type of hair loss called alopecia. Telogen effluvium can occur following a viral illness, high fever, and in some cases can be related to some hormonal conditions. During the time of the illness, hairs that were in their growth phase can change into the resting phase of hair growth. Weeks later, the hair begins to shed and this can last up to six weeks. It takes three to six months to re-enter the growth phase-so be patient. Your pediatrician should take a look to see if any further tests should be done or if your daughter should be referred to a dermatologist.

Dr. Mary Ann LoFrumento

BadgeLevel 10
,
posted 8:07pm, Apr 30, 2008

Stomach but for TWO MONTHS??? There is a stomach bug that kids at my sons school (including us) have been battleing since MARCH! Just when we think it has gone away it rears its  ugly head. We have been on the BRAT diet but as soon as we deviate from it, thats when we get hit again. I can't live on bananas, rice, toast and applesauce for this long, neither can the kids.

We have sterlized the house over and over, and today i emailed the district nurse abou t sterilizing the classrooms and playgrounds

Any other suggestions on how to get rid of this nasty bug? We have been to the dr. several times and each time we are told it must just run its course.

Help us!!

BadgeLevel 1
,
posted 11:28am, May 12, 2008

The “stomache bug” or virus that caused your son’s diarrhea is long gone- but the effect it had on his intestines is not. Diarrhea washes away some important digestive enzymes that are necessary for fluids to be absorbed back into the body. The loss of lactase for example results in a lactose intolerance.  Postinfectious diarrhea can take several weeks for the lining of the intestine to return to normal. At this point avoiding milk and sugary juices, and eating a normal diet is in order, including fats which help slow down the intestines and proteins which help the lining heal. You should see improvement over a 1-2 week period. If the diarrhea persists after a week or two, have your pediatrician reevaluate your son or refer him to a pediatric gastroenterologist.

Dr. Mary Ann LoFrumento

BadgeLevel 10
,
posted 3:28am, May 13, 2008

Its not just diarrhea its vomiting. Just when we think the bug is finally gone its starts again. My oldest threw up again last night after not getting sick for a couple of weeks.

He had been fine.


We have kept him on a dairy free low fat diet but if we steer away from that diet it aggrivates things. After 3 months he is also starving and getting really sick of the diet as we all are.

We have taken them to the ped over and over, but he doesn't seem concerned as they haven't lost weight.

Its still going around the school as entire tables of kids in my youngest sons class have been absent. The only thing the school does is they now ask why they are absent, so i think they are tracking who all has this bug.


I just want it gone!

BadgeLevel 10
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posted 1:35am, May 1, 2008

Is it true that it isn't advisable to give him anti-allergy med like zrytec/virlix and anti-asthma maintenance med like montelukast(montemax brand) when my son is having an asthma attack?

And what's the best brand of daily maintenance med for asthma for a 3yo? His ped prescribed Seretide inhaler (administered using babyhaler) but after 4mos we stopped from giving him that med bcoz my son seemed traumatized by uncomfy feeling brought by babyhaler's facemask ... but now I think he's old enough and ready for babyhaler's face mask I knew bcoz he had shown huge cooperation with his neb treatment for two weeks (3weeks ago) ...so is Seretide the best maintenance med for asthma available in the market today for young asthmatic patients like my 3yo? If not, is there such thing as maintenance med for asthma that don't have steroid content?

 

BadgeLevel 10
,
posted 5:19pm, May 1, 2008

I have two children with Aspberger's Syndrome. Is it true diet can have an effect on them? How does diet effect them?

A-Always
U-Unique
T-Totally
I-Interesting
S-Sometimes
M-Mysterious


BadgeLevel 1
,
posted 11:39am, May 12, 2008

Unfortunately there is no scientific evidence that diet has an effect on children with Asperger's Syndrome. This includes diets that are gluten free, casein free, milk and dairy free, the Feingold diet, or any others. Muchanectodal evidence is found on line but is not supported by any research studies. Please discuss this topic with your child's pediatrician or neurologist. They can give you more information.

Dr. Mary Ann LoFrumento

BadgeLevel 5
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posted 11:55am, May 2, 2008

I've recently moved to Round Rock, TX from Los Angeles and since we've got here my 3 1/2 year olds eczema has been flaring up badly.  I've been giving him an oral anti histamine (in case its due to allergies), moistorizing twice a day along with cortizone on the rash, i also started bathing him only every other day.  The parts where he's covered up or can't reach (back and chest) has healed but he won't stop scratching his legs and arms, so they are getting worse rather than better.  Any ideas on how to stop his scratching in order to let his skin heal? I've noticed on the news that the mold and grass levels are high right now, would it be best to just keep him indoors?  Or is it the water?  I'm not sure if the water is harder here than it was back in LA.

BadgeLevel 1
,
posted 9:23pm, May 7, 2008

Susie,I just took my daughter into the dermatologist last week for the same reason. She prescribed a very low steroid foam which should not be used for more than two weeks at a time. She said put the foam on twice a day only on the affected areas (in the morning and evening). After applying the foam apply a layer of thick non-irritating, non-smelly cream (like a tub of Vitamin E cream) and a layer of vaseline on top of that. At lunch time do the cream and vaseline as well, but not the foam. To stop your son from itching, benedryll should work.A couple of other things:- when you give him a bath make sure it is lukewarm to cold, but NOT lukewarm to hot as any sort of warm water will dry out the skin.- consider taking him to an allergist to find out what he may be causing the flare ups. My daughter is allergic to tree nuts.Hope this helps!

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